Cordova, Philip

Cordova, Philip is an individual health care provider with primary practice located at 11633 Hawthorne Blvd Suite 201, Hawthorne CA 90250. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cordova, Philip can be contacted via phone (310) 263-1632.

Contact Information

Primary practice address
11633 Hawthorne Blvd Suite 201 Hawthorne CA 90250
Phone: (310) 263-1632
Fax: (310) 263-1652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT28829 California

Profile Details

NPI number 1063598761
LBN Legal business name Cordova, Philip
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063598761 NPPES
Other WPT28829A PPIN

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